Adverse health outcomes in violent crime convicted persons: risk factors for somatic inpatient healthcare utilization

The VCCP cohort exhibited atypical patterns of somatic healthcare utilization, characterized by elevated inpatient and outpatient use, high rates of ACSCs and injuries, and a strikingly increased risk of premature mortality compared with the general population. The atypical nature of this utilization, reflected in the elevated incidence of ACSCs, underscores the need to improve understanding of the group's HCU patterns and the potential barriers to primary care. Enhancing health literacy and reducing barriers to timely and appropriate care are essential steps toward mitigating adverse health outcomes and promoting healthcare equity in this vulnerable population.